Healthcare Provider Details

I. General information

NPI: 1023057064
Provider Name (Legal Business Name): HAMILTON PHYSICAL THERAPY PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 FAIRGROUNDS RD
HAMILTON MT
59840-3126
US

IV. Provider business mailing address

336 FAIRGROUNDS RD
HAMILTON MT
59840-3126
US

V. Phone/Fax

Practice location:
  • Phone: 406-375-0980
  • Fax: 406-375-9938
Mailing address:
  • Phone: 406-375-0980
  • Fax: 406-375-9938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. DOUGLAS JAY MARTIN
Title or Position: OWNER
Credential: MPT
Phone: 406-375-0980